Provider Demographics
NPI:1144214826
Name:SMART HEALTH CARE
Entity Type:Organization
Organization Name:SMART HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLERICAL STAFF SUPPORT
Authorized Official - Prefix:MS
Authorized Official - First Name:BRANDIE
Authorized Official - Middle Name:S
Authorized Official - Last Name:COCHRAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-747-1965
Mailing Address - Street 1:127 HONEYSUCKLE LN
Mailing Address - Street 2:
Mailing Address - City:HAUGHTON
Mailing Address - State:LA
Mailing Address - Zip Code:71037-7676
Mailing Address - Country:US
Mailing Address - Phone:318-747-1965
Mailing Address - Fax:318-747-1883
Practice Address - Street 1:127 HONEYSUCKLE LN
Practice Address - Street 2:
Practice Address - City:HAUGHTON
Practice Address - State:LA
Practice Address - Zip Code:71037-7676
Practice Address - Country:US
Practice Address - Phone:318-747-1965
Practice Address - Fax:318-747-1883
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA905251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1406198Medicaid
LA1406198Medicaid